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Sleep problems in children and adolescents with β-thalassemia major

Year 2019, Volume: 44 Issue: 4, 1267 - 1271, 29.12.2019
https://doi.org/10.17826/cumj.526857

Abstract

Purpose: The aim of this study was to compare the sleep problems between children and adolescents with β-thalassemia major and healthy controls.

Materials and Methods: This study was a case-control survey of children and adolescents with β-thalassemia major. The sample consisted of 76 children and adolescents in the patient group and 68 healthy children and adolescents in the control group, with an age range of 8-16 years. Subjects were recruited from the Department of Child and Adolescent Psychiatry in Hatay State Hospital between January and December 2018. Children and adolescents with β-thalassemia major were consulted from the Department of Pediatric Hematology. The Children’s Sleep Habits Questionnaire (CSHQ) was used to evaluate sleep problems between the groups. 

Results: Mean age of the patient group was 11.66 (SD = 3.22) years, and 47.4% (N = 36) were males. Control group had a mean age of 12.84 (SD = 3.12) years, and 47.1% (N = 32) were males. Total score, night waking and sleep disordered breathing subscores of CSHQ were significantly higher in children with β-thalassemia major than healthy children.

Conclusion: As there are more sleep problems in children and adolescents with β-thalassemia major than in healthy children, detailed studies are needed. 

References

  • 1. Tarasiuk A, Ali AH, Moser A, Freidman B, Tal A, Kapelushnik J. Sleep Disruption and Objective Sleepiness in Children With β-Thalassemia and Congenital Dyserythropoietic Anemia. Arch Pediatr Adolesc Med. 2003;157:463.
  • 2. Dubey AP, Parakh A, Dublish S. Current Trends in the Management of Beta Thalassemia. Indian J Pediatr. 2008;75:739-743.
  • 3. Weatherall DJ, Clegg JB. Inherited haemoglobin disorders: an increasing global health problem. Bull World Health Organ. 2001;79:704-712.
  • 4. Steinberg MH, Forget BG, Higgs DR. Disorders of hemoglobin: genetics, pathophysiology, and clinical management. Cambridge, GBR: Cambridge University Press; 2009.
  • 5. Martin A, Thompson AA. Thalassemias. Pediatr Clin North Am. 2013;60:1383-1391.
  • 6. Hajibeigi B, Azarkeyvan A, Alavian SM, Lankarani MM, Assari S. Anxiety and depression affects life and sleep quality in adults with beta-thalassemia. Indian J Hematol Blood Transfus. 2009;25:59-65.
  • 7. De Santo RM, Lucidi F, Violani C, Bertini M. Insomnia disassociated with systolic hypertension in uremic patients on hemodialysis. Int J Artif Organs. 2001; 24:853-862.
  • 8. Benz RL, Pressman MR, Hovick ET, Peterson DD. A preliminary study of the effects of correction of anemia with recombinant human erythropoietin therapy on sleep, sleep disorders, and daytime sleepiness in hemodialysis patients (The SLEEPO study). Am J Kidney Dis. 1999;34:1089-1095.
  • 9. Lee KA, Zaffke ME, Baratte-Beebe K. Restless Legs Syndrome and Sleep Disturbance during Pregnancy: The Role of Folate and Iron. J Womens Health Gend Based Med. 2001;10:335-341.
  • 10. Gileles-Hillel A, Kheirandish-Gozal L, Gozal D. Hemoglobinopathies and sleep – The road less traveled. Sleep Med Rev. 2015;24:57-70.
  • 11. Daniel LC, Grant M, Kothare S V., Dampier C, Barakat LP. Sleep patterns in pediatric sickle cell disease. Pediatr Blood Cancer. 2010;55:501-507.
  • 12. Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ. The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia. Am J Hematol. 2013;88:261-264.
  • 13. Vullo R, Modell B, Georganda E, in conjunction with Thalassemia Internationals Federation with the cooperation of the World Health Organization. Guidelines for the Clinical Management of Thalassaemia: Fighting for the Red in Blood. New York, NY: Tenny Gra.
  • 14. Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;(8):1043-1051.
  • 15. Ekinci O, Okuyaz Ç, Gunes S, Ekinci N, Kalınlı M, Tan ME et al. Sleep problems in pediatric epilepsy and ADHD: The impact of comorbidity. Epilepsy Behav. 2017;71:7-12.
  • 16. Fiş NP, Arman A, Ay P, Topuzoğlu A, Selcen Guler A, Gokce Imren S. The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire. Anadolu Psikiyatri Dergisi 2010;11:151-160.
  • 17. Sritippayawan S, Norasetthekul S, Nuchprayoon I, Deerojanawong J, Desudchit T, Prapphal N. Obstructive sleep apnea among children with severe beta-thalassemia. Southeast Asian J Trop Med Public Health. 2012;43:152-159.
  • 18. Kapelushnik J, Shalev H, Schulman H, Moser A, Tamary H. Upper airway obstruction-related sleep apnea in a child with thalassemia intermedia. J Pediatr Hematol Oncol. 2001;23:525-526.
  • 19. Buckhalt JA, El-Sheikh M, Keller P. Children’s Sleep and Cognitive Functioning: Race and Socioeconomic Status as Moderators of Effects. Child Dev. 2007;78:213-231.
  • 20. Smaldone A, Honig JC, Byrne MW. Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation’s Children. Pediatrics. 2007;119:29-37.
  • 21. Lavigne JV, Arend R, Rosenbaum D, Smith A, Weissbluth M, Binns HJ et al. Sleep and behavior problems among preschoolers. J Dev Behav Pediatr. 1999;20:164-169.

β-talasemi major hastası çocuk ve ergenlerdeki uyku sorunları

Year 2019, Volume: 44 Issue: 4, 1267 - 1271, 29.12.2019
https://doi.org/10.17826/cumj.526857

Abstract

Amaç: Bu çalışmada, β-talasemi major hastası çocuk ve ergenler ile sağlıklı kontroller arasındaki uyku sorunlarının karşılaştırılması amaçlanmıştır. 

Gereç ve Yöntem: Bu çalışma, β-talasemi major hastası çocuk ve ergenlerin vaka kontrol araştırmasıydı. Örneklem, yaşları 8-16 arasında değişen, hasta grubundaki 76 çocuk ve ergen ile kontrol grubundaki 68 sağlıklı çocuk ve ergenden oluşmaktaydı. Ocak ve Aralık 2018 tarihleri arasında Hatay Devlet Hastanesi Çocuk ve Ergen Psikiyatrisi Kliniği’ne başvuran hastalar çalışmaya dahil edildi. β-talasemi major hastası çocuk ve ergenler Çocuk Hematoloji Kliniği’nden konsültasyon istemiyle yönlendirildi. Gruplar arasındaki uyku problemlerini değerlendirmek için Çocuk Uyku Alışkanlıkları Anketi (ÇUAA) kullanıldı. 

Bulgular: Hasta grubunun yaş ortalaması 11.66 (SD = 3.22) yıldı ve %47.4'ü (N = 36) erkekti. Kontrol grubunda ortalama yaş 12.84 (SD = 3.12) yıldı ve %47.1'i (N = 32) erkekti. ÇUAA toplam skoru, gece uyanma ve uykuda solunum bozukluğu alt skorları, β-talasemi major hastası çocuklarda sağlıklı çocuklardan anlamlı olarak daha yüksekti.

Sonuç: β-talasemi major hastası çocuk ve ergenlerde sağlıklı çocuklardan daha fazla uyku sorunları olduğu için ayrıntılı çalışmalara ihtiyaç vardır. 

References

  • 1. Tarasiuk A, Ali AH, Moser A, Freidman B, Tal A, Kapelushnik J. Sleep Disruption and Objective Sleepiness in Children With β-Thalassemia and Congenital Dyserythropoietic Anemia. Arch Pediatr Adolesc Med. 2003;157:463.
  • 2. Dubey AP, Parakh A, Dublish S. Current Trends in the Management of Beta Thalassemia. Indian J Pediatr. 2008;75:739-743.
  • 3. Weatherall DJ, Clegg JB. Inherited haemoglobin disorders: an increasing global health problem. Bull World Health Organ. 2001;79:704-712.
  • 4. Steinberg MH, Forget BG, Higgs DR. Disorders of hemoglobin: genetics, pathophysiology, and clinical management. Cambridge, GBR: Cambridge University Press; 2009.
  • 5. Martin A, Thompson AA. Thalassemias. Pediatr Clin North Am. 2013;60:1383-1391.
  • 6. Hajibeigi B, Azarkeyvan A, Alavian SM, Lankarani MM, Assari S. Anxiety and depression affects life and sleep quality in adults with beta-thalassemia. Indian J Hematol Blood Transfus. 2009;25:59-65.
  • 7. De Santo RM, Lucidi F, Violani C, Bertini M. Insomnia disassociated with systolic hypertension in uremic patients on hemodialysis. Int J Artif Organs. 2001; 24:853-862.
  • 8. Benz RL, Pressman MR, Hovick ET, Peterson DD. A preliminary study of the effects of correction of anemia with recombinant human erythropoietin therapy on sleep, sleep disorders, and daytime sleepiness in hemodialysis patients (The SLEEPO study). Am J Kidney Dis. 1999;34:1089-1095.
  • 9. Lee KA, Zaffke ME, Baratte-Beebe K. Restless Legs Syndrome and Sleep Disturbance during Pregnancy: The Role of Folate and Iron. J Womens Health Gend Based Med. 2001;10:335-341.
  • 10. Gileles-Hillel A, Kheirandish-Gozal L, Gozal D. Hemoglobinopathies and sleep – The road less traveled. Sleep Med Rev. 2015;24:57-70.
  • 11. Daniel LC, Grant M, Kothare S V., Dampier C, Barakat LP. Sleep patterns in pediatric sickle cell disease. Pediatr Blood Cancer. 2010;55:501-507.
  • 12. Allen RP, Auerbach S, Bahrain H, Auerbach M, Earley CJ. The prevalence and impact of restless legs syndrome on patients with iron deficiency anemia. Am J Hematol. 2013;88:261-264.
  • 13. Vullo R, Modell B, Georganda E, in conjunction with Thalassemia Internationals Federation with the cooperation of the World Health Organization. Guidelines for the Clinical Management of Thalassaemia: Fighting for the Red in Blood. New York, NY: Tenny Gra.
  • 14. Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;(8):1043-1051.
  • 15. Ekinci O, Okuyaz Ç, Gunes S, Ekinci N, Kalınlı M, Tan ME et al. Sleep problems in pediatric epilepsy and ADHD: The impact of comorbidity. Epilepsy Behav. 2017;71:7-12.
  • 16. Fiş NP, Arman A, Ay P, Topuzoğlu A, Selcen Guler A, Gokce Imren S. The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire. Anadolu Psikiyatri Dergisi 2010;11:151-160.
  • 17. Sritippayawan S, Norasetthekul S, Nuchprayoon I, Deerojanawong J, Desudchit T, Prapphal N. Obstructive sleep apnea among children with severe beta-thalassemia. Southeast Asian J Trop Med Public Health. 2012;43:152-159.
  • 18. Kapelushnik J, Shalev H, Schulman H, Moser A, Tamary H. Upper airway obstruction-related sleep apnea in a child with thalassemia intermedia. J Pediatr Hematol Oncol. 2001;23:525-526.
  • 19. Buckhalt JA, El-Sheikh M, Keller P. Children’s Sleep and Cognitive Functioning: Race and Socioeconomic Status as Moderators of Effects. Child Dev. 2007;78:213-231.
  • 20. Smaldone A, Honig JC, Byrne MW. Sleepless in America: Inadequate Sleep and Relationships to Health and Well-being of Our Nation’s Children. Pediatrics. 2007;119:29-37.
  • 21. Lavigne JV, Arend R, Rosenbaum D, Smith A, Weissbluth M, Binns HJ et al. Sleep and behavior problems among preschoolers. J Dev Behav Pediatr. 1999;20:164-169.
There are 21 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Serkan Güneş 0000-0002-8247-2145

Publication Date December 29, 2019
Acceptance Date April 1, 2019
Published in Issue Year 2019 Volume: 44 Issue: 4

Cite

MLA Güneş, Serkan. “Sleep Problems in Children and Adolescents With β-Thalassemia Major”. Cukurova Medical Journal, vol. 44, no. 4, 2019, pp. 1267-71, doi:10.17826/cumj.526857.